肝移植后的动脉高血压 肝移植后的动脉高血压
Bratislavske lekarske listy
|July 11, 2024
概括
动脉高血压是肝移植后常见的危险因素. 28%的患者患有新发高血压,男性性别,年龄和腰围等因素预测了加剧的治疗需求.
科学领域:
- 心脏病学 心脏病学
- 肝病学 肝病学是一种肝病学.
- 腎臟病學 (nephrology) 是一種醫學專業.
背景情况:
- 动脉高血压是心血管疾病的重要危险因素.
- 肝移植 (LT) 接受者容易患上高血压.
- 有效的血压 (BP) 管理对于LT后的结果至关重要.
研究的目的:
- 通过24小时血压监测来识别没有先前高血压的后LT患者,他们符合新发动性动脉高血压的标准.
- 为了评估LT患者的血压控制,具有先前存在的,治疗的动脉高血压.
- 确定低最佳血压控制的预测因素和加强抗高血压治疗的需要.
主要方法:
- 对88名肝移植接受者的前性分析.
- 利用了24小时的门诊血压监测.
- 收集有关患者人口统计,病史和身体测量的数据.
主要成果:
- 在28%的LT后患者中诊断出新的动脉高血压.
- 超性眼底部变化预测低于最佳控制的高血压 (OR 5.13,p=0.0279).
- 男性的性别 (OR 3.18,p=0.0311),年龄 (OR 1.33,p=0.0153) 和腰围 (OR 4.35,p=0.0418) 预测需要加强抗高血压治疗.
结论:
- 在接受肝移植的接受者中,很大一部分患有新发动的动脉高血压.
- 底部检查可以作为一个替代标记子最佳的高血压控制.
- 包括男性性别,年龄和腰围在内的临床因素要求在LT患者中对控制不良的BP提高警.
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